{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T08:15:36Z","timestamp":1772007336286,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T00:00:00Z","timestamp":1520553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    Electrocardiogram (\n                    <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\n                    ) false alarms are common in electrically\u2010hostile peri\u2010operative environments. Newer integrated monitoring, with sophisticated hardware and software, has the potential to minimise artefacts. However, monitoring issues continue to occur, with the potential for critical incidents and unnecessary and harmful interventions. We describe the root cause analysis of a series of apparent\n                    <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\n                    flatline asystolic events that appeared in the operating room shortly after the introduction of new intra\u2010operative monitoring systems. Clinical events and biomedical laboratory testing revealed complete loss of\n                    <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\n                    signal with increasing resistance. The new\n                    <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\n                    systems had incorporated both software and hardware changes to improve the fidelity of signal acquisition and display, but had become much more sensitive to impedance changes. After we alerted the manufacturer, they added software and hardware updates that resulted in resolution of all incidents of\n                    <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\n                    loss\u2010of\u2010signal.\n                  <\/jats:p>","DOI":"10.1111\/anae.14250","type":"journal-article","created":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T00:32:40Z","timestamp":1520555560000},"page":"746-749","source":"Crossref","is-referenced-by-count":2,"title":["Electrocardiogram failure in the operating room \u2013 bench testing to prevent bed\u2010side disaster"],"prefix":"10.1111","volume":"73","author":[{"given":"B.","family":"Cowie","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Shoghi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Worner","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Acute Pain Medicine St. Vincent's Hospital Melbourne"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,3,9]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/37\/8\/1298"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/37\/8\/1340"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.03.003"},{"key":"e_1_2_4_5_1","first-page":"100","article-title":"European resuscitation council guidelines for resuscitation 2015 section 3","volume":"95","author":"Soar J","year":"2015","journal-title":"Adult Advanced Life Support. Resuscitation"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/37\/8\/1217"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11517-016-1453-5"}],"container-title":["Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanae.14250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anae.14250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T01:26:03Z","timestamp":1761701163000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1111\/anae.14250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,9]]},"references-count":6,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1111\/anae.14250"],"URL":"https:\/\/doi.org\/10.1111\/anae.14250","archive":["Portico"],"relation":{},"ISSN":["0003-2409","1365-2044"],"issn-type":[{"value":"0003-2409","type":"print"},{"value":"1365-2044","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,9]]}}}